The holder whose full name is Austin, Kelly A.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002612) which status is Superceded.
| Name | Austin, Kelly A. |
|---|---|
| License Number | XS002612 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |